Individual
PENG DING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE # A71, CLEVELAND, OH 44195-0001
(216) 444-6691
Mailing address
6584 DUNEDEN AVE, SOLON, OH 44139-4046
(443) 326-0016
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
50.007226RX
OH
363A00000X
Physician Assistant
Primary
50.007226RX
OH
Other
Enumeration date
09/16/2021
Last updated
01/04/2022
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